However, symptomatic inflammation can be managed to some extent with an anti-inflammatory diet such as an autoimmune protocol (AIP) diet (3). It involves increasing the intake of antioxidant-rich and non-inflammatory foods that help reduce oxidative stress and other markers of inflammation (4). The diet also emphasizes consuming gut-friendly foods that help promote a healthy gut microbiome and reduce inflammation. While the exact mechanism of how the diet may work is still unclear and requires further research, its efficacy in easing the symptoms of autoimmune disease makes it worth trying (5). Scroll down to read more about the autoimmune diet, its benefits, and some lip-smacking recipes.
What Is The AIP Diet?
It is an elimination diet and excludes all processed foods, such as grains, dairy, legumes, salt, and oils, that may weaken the immune system which is already compromised due to the body’s autoimmune response (5). The goal of the AIP diet is to ease symptoms of autoimmune conditions and improve the quality of life of the patient. Additionally, it is a therapeutic process that also involves promoting healthy sleep habits, and stress management, along with consuming nutrient-dense foods. The autoimmune protocol diet (AIP) is very similar to but more restrictive than the paleolithic (paleo) diet — a primitive diet eaten by our prehistoric ancestors (6). It is best for people who have chronic autoimmune conditions like type 1 diabetes, rheumatoid arthritis, and inflammatory bowel disease (IBD). Keep reading to understand the way it works.
How Does The Autoimmune Protocol Diet Work?
The autoimmune protocol diet works by ruling out all the pro-inflammatory foods that may trigger or worsen autoimmune diseases or their symptoms. It may help relieve symptoms such as joint pain, fever, swelling, digestive issues, and recurring sickness to a certain extent. AIP diet follows a systematic process to allow your body to smoothly shift to the new diet and heal itself. There are three main phases of the AIP diet (5).
Phase 1: Elimination
In this phase, start excluding food groups gradually. You may start with one or two food groups. For example, eliminate gluten-rich foods in week one and dairy products in week two. In week three, exclude grains and so on. This phase lasts up to 6 weeks.
Phase 2: Maintenance/Elimination Continued
This is the extension of the first phase. You may continue with the elimination process if required. Continue it for 5 weeks after phase one.
Phase 3: Reintroduction
It involves slowly reintroducing a food group that was eliminated during the first two phases. Assess the symptoms to see how the body responds. If the food does not cause side effects even after gradually increasing the portion, reintroduce it into your diet. The process of removing and re-adding food groups might seem slow, but it results in many health benefits, and we will explore that in the next section.
Benefits Of The AIP Diet
As the cause of the inflammation is eliminated, your body gets time to heal itself. This may lead to the following health improvements:
- May Provide Relief In Gut Disorders A study published in the journal Crohn’s & Colitis 360 concluded that following the AIP diet may help ease the symptoms of irritable bowel disease (IBD) such as diarrhea and abdominal pain (7). The results may start to show as early as around the third week of the elimination phase.
- May Help Manage Hashimoto’s Thyroiditis Dietary intervention may help reduce the level of inflammation and improve the quality of life of people with Hashimoto’s thyroiditis. While consuming anti-inflammatory foods may not impact thyroid function, following such diets may slow down the progress of thyroid damage and reduce oxidative stress (8), (9).
- May Alleviate The Symptoms Of Rheumatoid Arthritis AIP diet may help reduce the inflammation caused by rheumatoid arthritis. Consumption of gluten-free, low-fat, vegan, and anti-inflammatory diets may help manage symptoms such as pain and joint tenderness (10),(11). However, more studies are required to yield reliable results in this area.
- May Manage Sugar Levels In Diabetes AIP diet eliminates processed carbs and sugar and may help manage blood sugar levels and aid in weight loss for people with diabetes. A study published in the Journal of Restorative Medicine found that an anti-inflammatory diet could reduce inflammatory markers in the body, thus, reducing blood glucose and serum lipid (or fat) levels to some extent (12).
- May Control Celiac Disease The AIP diet eliminates all types of grains. Limiting gluten consumption may help manage the symptoms of celiac disease, such as bloating and gastrointestinal discomfort, and improve the quality of life (13). Now that we have an idea about how the AIP diet may help you deal with the symptoms of autoimmune conditions let us explore the AIP diet food list.
AIP Diet: Foods To Eat
Here are some recommendations for AIP-friendly foods that you may consume to manage your body’s auto-immune response and inflammation. The following ingredients are included in the autoimmune paleo diet:
Lean ground proteins, including turkey, chicken, and beef (14). Seafood, such as tuna and salmon (15). Vegetables such as broccoli, cabbage, mushrooms, turnips, zucchini, garlic, Brussels sprouts, and other cruciferous vegetablesi Vegetables like broccoli, cauliflower, cabbage, etc., with distinctive cross-shaped (cruciferous) flowers and various health benefits. like collard greens, daikon, horseradish, kale, kohlrabi, radish, turnips, and wasabi (16). Starchy vegetables such as sweet potatoes (17). Most fresh fruits, including apples, capers, chokeberries, and cranberries (18). Herbs such as lovage, dill, cilantro, and radish leaves (18). Fermented foods such as sauerkraut, kimchi, and coconut kefir (19). Olive oil (20).
The AIP diet excludes all foods that might aggravate inflammation or are potential allergens. Let us take a look at the ones that are eliminated from the diet.
AIP Diet: Foods to Avoid
There are a number of non-AIP-compliant foods that need to be avoided when on an AIP diet. These foods contain proteins and other organic compounds that may upset the gut and lead to inflammation:
Nightshade vegetables such as all varieties of tomatoes, eggplant, potatoes, and peppers (21). Onions are high in FODMAPs so, you may want to avoid them in the IBS diet (22). Nuts and seeds (5) Dairy products (23) Red meat (23) All grains (5) Legumes and beans (legumes may be allowed in the second phase of the AIP diet) (5). Coffee and alcohol Refined sugars, processed trans fats, and salt (it is allowed only in moderation) (24).
Despite restrictions, you can still cook up sumptuous meals. Let us explore how you can plan your meals for this diet.
Sample AIP Diet Plan
Day 1
Breakfast: 1 bowl of mixed berries smoothie (blueberries, strawberries, and blackberries). 2 slices of whole grain bread. Lunch: 3-4 ounces of ginger-lime salmon seasoned with veggies. Snack: 1 sliced cucumber, and a handful of almonds. Dinner: 1 bowl of instant pot chicken soup, ½ cup quinoa with 3-4 ounces of grilled chicken.
Day 2
Breakfast: 3.5 ounces of sweet potato hash cooked with lean steak. Lunch: 2-3 ounces of sliced turkey breast with avocado, 1 cup of mixed vegetables. Snack: 1 ounce of a compliant beef jerky stick (ensure it contains no additives). Dinner: 3.5 ounces of oven-baked chicken thighs with roasted asparagus, ½ cup of brown rice.
Day 3
Breakfast: ½ cup of oatmeal and 1 cup of spinach cooked in AIP-friendly fats. Lunch: 1 cup of crispy kale chips paired with 4-6 ounces of grilled chicken breast. Snack: 5 ounces of canned tuna in water. Dinner: 1 mushroom patty burger of 4-6 ounces served without the bun.
Day 4
Breakfast: 1 cup of sautéed mushrooms and onions with 4-5 ounces of organic lean pork loin. Lunch: 1½ cups of creamy AIP-compliant chicken salad (use coconut milk-based dressing), one grain-free wrap. Snack: 6-8 slices of pickles without added sugars or non-compliant ingredients. Dinner: 1½ to 2 cups of mushroom soup, 1 cup of brown rice with 3-4 ounces of grilled chicken.
Day 5
Breakfast: 4-6 ounces of sautéed chicken livers with 1 cup of wilted spinach. Lunch: 3-4 ounces of vegetable stir-fry with tofu and ½ cup of cooked quinoa. Snack: 1 stick of organic Italian-style beef jerky stick that adheres to AIP guidelines. Dinner: 3-4 ounces of roasted duck served with 1 cup of Brussels sprouts
Day 6
Breakfast: 1 bowl of AIP-compliant porridge and 2 boiled eggs. Lunch: 4-5 sweet potato chicken poppers (12 ounces) made with AIP-approved ingredients, and 1 cup of mixed vegetables. Snack: 1 cup of fresh melon (ensure it’s ripe and free from added sweeteners). Dinner: 6-8 ounces of broiled salmon.
Day 7
Breakfast: 12-16 ounces of blueberry coconut smoothie made with AIP-friendly ingredients, and ½ cup of oatmeal. Lunch: 4-6 ounces of grilled chicken tenders with a side of 1 cup of roasted asparagus Snack: 2 slices of sweet potato toast with 2 tablespoons of mashed avocado and spices Dinner: 1 bowl of instant pot chicken soup, 3-4 ounces of salmon with 1 cup of quinoa.
You can follow the above meal plans or tailor your own according to your preferences and health goals. Let us now explore the easy AIP recipes below to pour a taste into your healthy auto-immune protocol diet.
Easy AIP Diet Recipes
Breakfast Recipes For AIP Diet
- Sweet Potato Breakfast Bowl Ingredients
1 medium sweet potato ¼ cup of coconut milk ¼ teaspoon of salt Toppings of your choice (coconut yogurt, blueberries, cinnamon, etc.)
How To Prepare 2. Sausage And Seasoned Sweet Potato Ingredients
1 sweet potato, peeled and diced 2-3 AIP-compliant sausages or plain pork sausages 2 cups of AIP-friendly leafy greens (spinach or kale) 2 tablespoons of olive oil 1 teaspoon of dried herbs (thyme or rosemary)
How To Prepare
Lunch Recipes For AIP Diet
- Lemony And Crispy Beef Ingredients
2 pounds of grass-fed ground beef 2 teaspoons of coarse salt 1 tablespoon of garlic and ginger powder 2 tablespoons of olive oil (or lard for AIP) 1 large lemon A cup of green vegetables like spinach, cilantro, and kale.
How To Prepare 2. AIP Chicken And Veggie Stir-Fry Ingredients
1 boneless and skinless chicken breast (sliced) 1 cup of broccoli florets 1 cup of carrots (sliced) 2 tablespoons of olive oil 1 teaspoon of dried thyme or rosemary Salt to taste Cilantro for garnish
How To Prepare
Dinner Recipes For AIP Diet
- Spinach And Garlic Meatballs Ingredients
1 pound of ground beef (grass-fed) 1 cup of chopped spinach (fresh) 4 cloves of garlic (minced) Real salt to taste 4 carrots Bone broth (chicken preferably)
How To Prepare 2. Ginger-Lime Salmon Ingredients
1½ pounds of salmon 1 bunch of green onions (green and white parts separated) ¼ cup of olive oil 2 inches of ginger (grated) 3 cloves of garlic (crushed) 1 tablespoon of lemon juice 1 teaspoon of lime zest 1 teaspoon of honey (raw and organic) ¼ teaspoon of sea salt 2 to 5 zucchini (sliced)
How To Prepare
Soup Recipes For AIP Diet
- Instant Pot Chicken Soup
1 onion diced 2 chopped carrots 1½ cups of chopped green beans 1 teaspoon of ginger-garlic paste 4 lb chicken 2 teaspoons of sea salt 5 cups of water Chopped cilantro for garnish
How To Prepare 2. Mushroom Soup Ingredients
Pastured bacon 1 yellow onion 5 garlic cloves 1 pound of mushrooms Dried herbs (thyme, rosemary, or parsley) 1 teaspoon of arrowroot powder Bone broth (preferably chicken) Sea salt (as per taste)
How To Prepare With these AIP recipes, you can steer clear of inflammation and make your meals more interesting, however, this diet has its fair share of downsides which we have discussed in the following section.
Side Effects Of The AIP Diet
Since the AIP diet involves the strict elimination of a lot of pro-inflammatory food groups, it may lead to nutrient deficiency if AIP-compliant foods are not selected carefully. This can be harmful to health and the actual aim behind the AIP diet may backfire. It can also pose various social challenges such as not being able to eat at a social gathering. This can push the person on this diet towards social isolation causing mental stress. Moreover, there is also no guarantee that following this diet will provide prolonged relief from autoimmune diseases. The reintroduction phase can be confusing and is not recommended to do on your own. If the food reactions are not noted carefully it may get confusing and fail the hard work done over the past few weeks. Worse, it may lead to serious inflammation if the wrong food groups are reintroduced without proper interval. Therefore, it is advised to consult a registered dietician or a doctor if you have a diagnosed autoimmune condition. This may even aggravate the inflammation. What fruits are AIP approved? Fruits that are rich in antioxidant and anti-inflammatory properties are allowed in the AIP diet. This includes such as blackberries, raspberries, cranberries, black currants, blueberries, strawberries, grapes, apples, and sour cherries (25). How long should I do the AIP diet? You should follow an AIP diet for 4 to 8 weeks. It provides enough time to gradually eliminate the food groups and reset your gut. Do people lose weight on AIP? Yes, you may lose weight if you follow this diet, as clinical research shows that an anti-inflammatory diet or diet for autoimmune diseases may be highly effective in obesity management (26). Why is coconut allowed on AIP? Coconut is included in the diet because according to one study, it was found that lipids found in coconut oil may help reduce inflammation in the intestine (27). Can I eat cucumbers on an AIP diet? Yes, you can eat cucumbers on an AIP diet as they are easily digestible and do not lead to gut inflammation (28). What spices should I avoid on AIP? Overly spicy condiments such as red pepper should be avoided on the AIP diet as it has been shown to cause irritation in the gut and exacerbate inflammation (29). Is rice allowed on the AIP diet? Generally, the AIP diet does not include any grains, including rice. However, it may be allowed as per the individual case only under the guidance of the doctor. Research shows that rice is easily digestible and has low allergenicity and it may be consumed by people with functional gastrointestinal disorders (30).
Illustration: AIP (Auto Immune Protocol) Diet – Foods To Eat & Avoid
The following video explains the efficacy of the AIP diet in managing Hashimoto’s disease. But here’s a catch – it is not for everyone. Watch the following video to learn more.